Extensive Skin Excision by Tumescent Local Anesthesia in a Patient with Zosteriform Nevus Comedonicus
Yen-Yu Chao, Ren-Yeu Tsai, Heng-Leong Chan
Dermatol Sinica 17: 263-267, 1999

A 26-year-old woman presented with zonal aggregated papulonodules on her right flank since birth. The lesions appeared like giant comedones occupying the entire right T10 dermatome. The skin biopsy specimen revealed dilated follicles with keratin plugs and proliferating epithelial buds. Because of recurrent infection and inflammation, we totally excised the extensive skin lesion under local anesthesia with the aid of tumescent technique.